Steerable multi-linked device having a modular link assembly

ABSTRACT

A steerable multi-linked device. The device includes a first multi-linked mechanism and a second multi-linked mechanism. At least one of the first and second multi-linked mechanisms is steerable and includes a modular link assembly at an end thereof. The modular link assembly includes a base, and a tip removably connected to the base.

CROSS-REFERENCE TO RELATED APPLICATION

This application claims priority to, and is a continuation of U.S.patent application Ser. No. 12/943,669, filed on Nov. 10, 2010, whichclaims priority to, and is a continuation of U.S. patent applicationSer. No. 11/923,246, filed on Oct. 24, 2007, which claims priority toU.S. patent application Ser. No. 60/862,636, filed on Oct. 24, 2006, thedisclosures of which are incorporated herein by reference in theirentireties.

Not applicable

BACKGROUND

This application discloses an invention that is related, generally andin various embodiments, to a modular link assembly for a multi-linkeddevice.

There are many types of steerable multi-linked devices, and such devicesare utilized in a variety of different applications. In general, thesteerable end of such devices is a fixed component which limits theversatility of the device. For example, the fixed component at thesteerable end of a given multi-linked device may render the devicesuitable for only a single specific application.

SUMMARY

In one general respect, this application discloses a steerablemulti-linked device. According to various embodiments, the deviceincludes a first multi-linked mechanism and a second multi-linkedmechanism. At least one of the first and second multi-linked mechanismsis steerable and includes a modular link assembly at an end thereof. Themodular link assembly includes a base, and a tip removably connected tothe base.

DESCRIPTION OF DRAWINGS

Various embodiments of the invention are described herein by way ofexample in conjunction with the following figures.

FIGS. 1A and 1B illustrate various embodiments of a steerablemulti-linked device;

FIG. 2 illustrates various embodiments of a core mechanism of the deviceof FIG. 1;

FIGS. 3A-3C illustrate various embodiments of a proximal link of thecore mechanism;

FIGS. 4A-4C illustrate various embodiments of an intermediate link ofthe core mechanism;

FIGS. 5A-5C illustrate various embodiments of a distal link of the coremechanism;

FIG. 6 illustrates various embodiments of a sleeve mechanism of thedevice of FIG. 1;

FIGS. 7A-7C illustrate various embodiments of a proximal link of thesleeve mechanism 1;

FIGS. 8A-8C illustrate various embodiments of an intermediate link ofthe sleeve mechanism;

FIGS. 9A-9D illustrate various embodiments of a distal link of thesleeve mechanism;

FIG. 10 illustrates various embodiments of a motion sequence of thedevice of FIG. 1;

FIG. 11 illustrates various embodiments of a steerable multi-linkeddevice traversing a path having tight curvatures;

FIGS. 12A-12C illustrate various embodiments of a modular link assemblyfor a multi-linked device;

FIGS. 13A-13C illustrate various embodiments of a base of the modularlink assembly of FIG. 12A;

FIGS. 14A-14D illustrate various embodiments of a tip of the modularlink assembly of FIG. 12A; and

FIG. 15 illustrates various embodiments of a modular link assembly for amulti-linked device.

DETAILED DESCRIPTION

It is to be understood that at least some of the figures anddescriptions of the invention have been simplified to focus on elementsthat are relevant for a clear understanding of the invention, whileeliminating, for purposes of clarity, other elements that those ofordinary skill in the art will appreciate may also comprise a portion ofthe invention. However, because such elements are well known in the art,and because they do not necessarily facilitate a better understanding ofthe invention, a description of such elements is not provided herein.

According to various embodiments, the modular link assembly may beutilized as an end link of a variety of different multi-link devices.For example, the modular link assembly may be utilized as an end link ona multi-linked device such as the steerable multi-linked devicedescribed in FIGS. 1-11. For ease of explanation purposes, the modularlink assembly will be described in the context of its use with variousembodiments of the steerable multi-linked device described in FIGS.1-11. However, one skilled in the art will appreciate that the modularlink assembly may be utilized with other types of multi-linked devices.

FIGS. 1A and 1B illustrate various embodiments of a steerablemulti-linked device 10. Various embodiments of the device 10 may beutilized for medical procedures (e.g., minimally invasive procedures),for surveillance applications, for inspection applications, for searchand rescue applications, etc. For purposes of clarity only, the utilityof the device 10 will be described hereinbelow in the context of itsapplicability to medical procedures. However, a person skilled in theart will appreciate that the device 10 can be utilized in a variety ofdifferent applications.

The device 10 includes a first mechanism 12 and a second mechanism 14.According to various embodiments, the second mechanism 14 is structuredand arranged to receive and surround the first mechanism 12 as shown inFIG. 1B. For such embodiments, the first mechanism 12 may be consideredthe inner mechanism or the core mechanism, and the second mechanism 14may be considered the outer mechanism or the sleeve mechanism. Accordingto other embodiments, the first and second mechanisms 12, 14 may bestructured and arranged to have a relationship other than a concentricrelationship. For example, one skilled in the art will appreciate that,according to various embodiments, the first and second mechanisms 12, 14may be structured and arranged to operate in a side-by-side arrangement,where the first mechanism 12 operates adjacent to the second mechanism14. As described in more detail hereinbelow, the first mechanism 12 mayoperate in either a rigid mode or a limp mode, the second mechanism 14may operate in either a rigid mode or a limp mode, and the first andsecond mechanisms 12, 14 may operate independent of one another. Boththe first mechanism 12 and the second mechanism 14 may be steerablemechanisms. Accordingly, it will be appreciated that the device 10 maybe utilized to navigate a luminal space as well as any three-dimensionalpath within an interactivity space. The device 10 may also include afirst cable 16, a second cable 18, a third cable 20, and a fourth cable22. The first, second and third cables 16, 18, 20 may be consideredsteering cables, and the fourth cable 22 may be considered a tensioningcable.

FIG. 2 illustrates various embodiments of the first mechanism 12 of thedevice 10. The first mechanism 12 is a multi-linked mechanism andincludes a first end 24 and a second end 26. The first end 24 may beconsidered the proximal end and the second end 26 may be considered thedistal end. The first mechanism 12 includes a first link 28, a secondlink 30, and any number of intermediate links 32 between the first andsecond links 28, 30. The first link 28 may be considered the proximallink, and the second link 30 may be considered the distal link.

FIGS. 3A-3C illustrate various embodiments of the first link 28 (innerproximal link) of the first mechanism 12. The first link 28 includes afirst end 34 and a second end 36, and defines a longitudinal axis 38that passes through the center of the first end 34 and the center of thesecond end 36 as shown in FIG. 3B. The first link 28 may be fabricatedfrom any suitable material. According to various embodiments, the firstlink 28 is fabricated from a fiber reinforced material such as, forexample, G10/FR4 Garolite®. The first link 28 has a generallycylindrical shaped exterior and is described in more detail hereinbelow.

The first link 28 includes a first portion 40 and a second portion 42.The first portion 40 may be considered the proximal portion and thesecond portion 42 may be considered the distal portion. The firstportion 40 may be fabricated integral with the second portion 42. Thefirst portion 40 has a cylindrical shaped exterior, and extends from thefirst end 34 of the first link 28 toward the second end 36 of the firstlink 28. According to various embodiments, the diameter of the firstportion 40 is on the order of approximately 6.35 millimeters.

The second portion 42 has a generally cylindrically shaped exterior. Thesecond portion 42 has a cylindrically shaped exterior where it contactsthe first portion 40, and tapers toward the second end 36 of the firstlink 28. The second portion 42 may be shaped in the form of a generallysegmented hemisphere at the second end 36 of the first link 28.According to various embodiments, the diameter of the second portion 42is on the order of approximately 4.75 millimeters where it contacts thefirst portion 40.

The second portion 42 includes a first surface 44. The first surface 44may be considered the outer surface of the second portion 42. The secondportion 42 defines a first groove 46 parallel to the longitudinal axis38 along the first surface 44, a second groove 48 parallel to thelongitudinal axis 38 along the first surface 44, and a third groove 50parallel to the longitudinal axis 38 along the first surface 44. Each ofthe first, second and third grooves 46, 48, 50 extend along the firstsurface 44 toward the second end 36 of the first link 28. The first,second and third grooves 46, 48, 50 may be semi-tubular shaped and maybe evenly spaced about the first surface 44 of the second portion 42 ofthe first link 28 as shown in FIG. 3C. According to various embodiments,the first, second, and third grooves 46, 48, 50 may be configured in theshape of a segmented cylinder. The size of each of the grooves 46, 48,50 may identical to one another or may be different from one another.For example, according to various embodiments, the first and secondgrooves 46, 48 are configured as segments of a cylinder having adiameter on the order of approximately 1.25 millimeters, and the thirdgroove 50 is configured as a segment of a cylinder having a diameter onthe order of approximately 2.50 millimeters. The length of the firstlink 28 may be on the order of approximately 65 millimeters. However,one skilled in the art will appreciate that the length of the first link28 can van based on the application.

The first link 28 also defines a passage 52 extending from the first end34 to the second end 36 along the longitudinal axis 38 as shown in FIG.3B. The passage 52 is of a size sufficient to allow tile fourth cable 22to pass therethrough. According to various embodiments, the passage 52is generally configured as a complex shape that includes a combinationof a first cylinder 54 that extends from the first end 34 toward thesecond end 36, and a second cylinder 56 that extends from the firstcylinder 54 toward the second end 36. The diameter of the first cylinder54 is larger than the diameter of the second cylinder 56. For example,according to various embodiments, the first cylinder 54 has a diameteron the order of approximately 3.20 millimeters and the second cylinder56 has a diameter on the order of approximately 1.50 millimeters.

FIGS. 4A-4C illustrate various embodiments of one of the intermediatelinks 32 (inner intermediate link) of the first mechanism 12. Theintermediate link 32 is representative of the other intermediate links32. The intermediate link 32 includes a first end 58 and a second end60, and defines a longitudinal axis 62 that passes through the center ofthe first end 58 and the center of the second end 60 as shown in FIG.4B. The intermediate link 32 may be fabricated from any suitablematerial. According to various embodiments, the intermediate link 32 isfabricated from a fiber reinforced material such as, for example,G10/FR4 Garolite®. The intermediate link 32 has a generallybullet-shaped exterior and is described in more detail hereinbelow.

The intermediate link 32 includes a first portion 64 and a secondportion 66. The first portion 64 may be considered the proximal portionand the second portion 66 may be considered the distal portion. Thefirst portion 64 may be fabricated integral with the second portion 66.The first portion 64 has a generally cylindrical shaped exterior, andextends from the first end 58 of the intermediate link 32 toward thesecond end 60 of the intermediate link 32. According to variousembodiments, the second portion 66 has a generally cylindrically shapedexterior where it contacts the first portion 64 and tapers toward thesecond end 60 of the intermediate link 32. The exterior of the secondportion 66 is configured in the form of a generally segmentedhemisphere. According to various embodiments, the diameter of theintermediate link 32 is on the order of approximately 4.75 millimetersat the first end 58 thereof. The length of the intermediate link 32 maybe on the order of approximately 5.85 millimeters. However, one skilledin the art will appreciate that the length of the intermediate link 32can vary based on the application.

The intermediate link 32 also includes a first surface 68 that extendsfrom the first end 58 of the intermediate link 32 to the second end 60of the intermediate link 32. The first surface 68 may be considered theouter surface of the intermediate link 32. The intermediate link 32 alsodefines a first groove 70 parallel to the longitudinal axis 62 along thefirst surface 68, a second groove 72 parallel to the longitudinal axis62 along the first surface 68, and a third groove 74 parallel to thelongitudinal axis 62 along the first surface 68. Each of the first,second and third grooves 70, 72, 74 extend along the first surface 68from the first end 58 of the intermediate link 32 toward the second end60 of the intermediate link 32. The first, second and third grooves 70,72, 74 may be semi-tubular shaped and may be evenly spaced about thefirst surface 68 of the intermediate link 32 as shown in FIG. 4C.According to various embodiments the first, second, and third grooves70, 72, 74 may be configured in the shape of a segmented cylinder. Thesize of each of the grooves 70, 72, 74 may identical to one another ormay be different from one another. For example, according to variousembodiments, the first and second grooves 70, 72 are configured assegments of a cylinder having a diameter on the order of approximately1.75 millimeters at the first end 58 of the intermediate link 32, andthe third groove 74 is configured as a segment of a cylinder having adiameter on the order of approximately 2.50 millimeters at the first end58 of the intermediate link 32. The first, second and third grooves 70,72, 74 are each configured to receive and partially surround any of avariety of tools or instruments (e.g., ablation tools) which may passfrom the first end 24 of the multi-linked device 1I to the second end 26of the multi-linked device 10.

The intermediate link 32 also defines a passage 76 extending from thefirst end 58 to the second end 60 along the longitudinal axis 62 asshown in FIG. 4B. The passage 76 is of a size sufficient to allow thefourth cable 22 to pass therethrough. According to various embodiments,the passage 76 is generally configured as a complex shape that includesa combination of a first segmented hemisphere 78 that extends from thefirst end 58 toward the second end 60, a second segmented hemisphere 80that extends from the first segmented hemisphere 78 toward the secondend 60, a cylinder 82 that extends from the second segmented hemisphere80 toward the second end 60, and a third segmented hemisphere 84 thatextends from the cylinder 82 to the second end 60 of the intermediatelink 32. According to various embodiments, the first segmentedhemisphere 78 represents a portion of a sphere having a diameter on theorder of approximately 4.75 millimeters, the second segmented hemisphere80 represents a portion of a sphere having a diameter on the order ofapproximately 2.25 millimeters, the cylinder 82 has a diameter on theorder of approximately 1.0 millimeter, and the third segmentedhemisphere 84 represents a portion of a sphere having a diameter on theorder of approximately 2.25 millimeters.

The first segmented hemisphere 78 of the passage 76 is configured toreceive the second end 36 of the first link 28 when the first link 28 iscoupled to the intermediate link 32. Similarly, for a given intermediatelink 32, the first segmented hemisphere 78 of the passage 76 isconfigured to receive the second end 60 of another intermediate link 32when the other intermediate link 32 is coupled to the given intermediatelink 32. The third segmented hemisphere 84 may serve to reduce thepinching or binding of the fourth cable 22 when one intermediate link 32moves relative to an adjacent intermediate link 32 coupled thereto.Similarly, when the second link 30 is coupled to a given intermediatelink 32, the third segmented hemisphere 84 may serve to reduce thepinching or binding of the fourth cable 22 when the second link 30 movesrelative to the given intermediate link 32.

With the above described structure, the first link 28 may be coupled tothe intermediate link 32 by seating the second end 36 of the first link28 in the first segmented hemisphere 78 of the passage 76 of theintermediate link 32. As the convex configuration of the second end 36of the first link 28 generally corresponds with the concaveconfiguration of the first segmented hemisphere 78 of the passage 76 ofthe intermediate link 32, the first link 28 may be coupled to theintermediate link 32 such that the longitudinal axis 38 and the first,second and third grooves 46, 48, 50 of the first link 28 arerespectively aligned with the longitudinal axis 62 and the first, secondand third grooves 70, 72, 74 of the intermediate link 32. Theintermediate link 32 may be moved relative to the first link 28 suchthat the longitudinal axis 62 of the intermediate link 32 is not alignedwith the longitudinal axis 38 of the first link 28. According to variousembodiments, the configuration of the first link 28 and the intermediatelink 32 allows for the intermediate link 32 to be moved relative to thefirst link 28 coupled thereto such that the longitudinal axis 38 of thefirst link 28 and the longitudinal axis 62 of the intermediate link 32are up to approximately 25° out of alignment with one another.Similarly, one intermediate link 32 may be coupled to anotherintermediate link 32, and so on, by seating the second end 60 of oneintermediate link 32 in the first segmented hemisphere 78 of the passage76 of another intermediate link 32. As the convex configuration of thesecond end 60 of the intermediate link 32 generally corresponds with theconcave configuration of the first segmented hemisphere 78 of thepassage 76 of the intermediate link 32, the intermediate links 32 may becoupled such that the respective longitudinal axes 62 and the respectivefirst, second and third grooves 46, 48, 50 of the intermediate links 32are aligned. The coupled intermediate links 32 may be moved relative toone another such that the respective longitudinal axes 62 of the coupledintermediate links 32 are not aligned. According to various embodiments,the configuration of the coupled intermediate links 32 allows for oneintermediate link 32 to be moved relative to an adjacent intermediatelink 32 coupled thereto such that the respective longitudinal axes 62are up to approximately 25° out of alignment with one another.

FIGS. 5A-5C illustrate various embodiments of the second link 30 (innerdistal link) of the first mechanism 12. The second link 30 includes afirst end 86 and a second end 38, and defines a longitudinal axis 90that passes through the center of the first end 86 and the center of thesecond end 88 as shown in FIG. 5B. The second link 30 may be fabricatedfrom any suitable material. According to various embodiments, the secondlink 30 is fabricated from a thermoplastic material such as, forexample, Delrin®.

The second link 30 includes a first portion 92 and a second portion 94.The first portion 92 may be considered the proximal portion and thesecond portion 94 may be considered the distal portion. The firstportion 92 may be fabricated integral with the second portion 94. Thefirst portion 92 has a generally cylindrical shaped exterior, andextends from the first end 86 of the second link 30 toward the secondend 88 of the second link 30. According to various embodiments, thesecond portion 94 has a generally cylindrically shaped exterior where itcontacts the first portion 92, and tapers toward the second end 88 ofthe second link 30. The exterior of the second portion 64 is configuredin the form of a generally segmented cone. According to variousembodiments, the diameter of the second link 30 is on the order ofapproximately 4.75 millimeters at the first end 86 thereof, and thetaper of the second portion 94 is at an angle of approximately 30°relative to the exterior of the first portion 92. The length of thesecond link 30 may be on the order of approximately 5.90 millimeters.However, one skilled in the art will appreciate that the length of thesecond link 30 can vary based on the application.

The second link 30 also includes a first surface 96 that extends fromthe first end 86 of the second link 30 to the second end 88 of thesecond link 30. The first surface 96 may be considered the outer surfaceof the second link 30. The second link 30 also defines a first groove 98parallel to the longitudinal axis 90 along the first surface 96, asecond groove 100 parallel to the longitudinal axis 90 along the firstsurface 96, and a third groove 102 parallel to the longitudinal axis 90along the first surface 96. Each of the first, second and third grooves98, 100, 102 extend along the first surface 96 from the first end 86 ofthe second link 30 toward the second end 88 of the second link 30. Thefirst, second and third grooves 98, 100, 102 may be semi-tubular shapedand may be evenly spaced about the first surface 96 of the second link30 as shown in FIG. 5C. According to various embodiments, the first,second, and third grooves 98, 100, 102 may be configured in the shape ofa segmented cylinder. The size of each of the grooves 98, 100, 102 mayidentical to one another or may be different from one another. Forexample, according to various embodiments, the first and second grooves98, 100 are configured as segments of a cylinder having a diameter onthe order of approximately 125 millimeters at the first end 86 of thesecond link 30, and the third groove 102 is configured as a segment of acylinder having a diameter on the order of approximately 2.50millimeters at the first end 86 of the second link 30. The first, secondand third grooves 98, 100, 102 are each configured to receive andpartially surround any of a variety of tools or instruments (e.g.,ablation tools) which may pass from the first end 24 of the multi-linkeddevice 10 to the second end 26 of the multi-linked device 10.

The second link 30 also defines a passage 104 extending from the firstend 86 to the second end 88 along the longitudinal axis 90 as shown inFIG. 5B. The passage 104 is of a size sufficient to allow the fourthcable 22 to pass therethrough. According to various embodiments, thepassage 104 is generally configured as a complex shape that includes acombination of a first segmented hemisphere 106 that extends from thefirst end 86 toward the second end 88, a second segmented hemisphere 108that extends from the first segmented hemisphere 106 toward the secondend 88, and a cylinder 110 that extends from the second segmentedhemisphere 108 to the second end 88 of the second link 30. According tovarious embodiments, the first segmented hemisphere 106 represents aportion of a sphere having a diameter on the order of approximately 4.75millimeters, the second segmented hemisphere 108 represents a portion ofa sphere having a diameter on the order of approximately 2.50millimeters, and the cylinder 110 has a diameter on the order ofapproximately 1.0 millimeter. The first segmented hemisphere 106 of thepassage 104 is configured to receive the second end 60 of anintermediate link 32 when the intermediate link 32 is coupled to thesecond link 30.

With the above described structure, an intermediate link 32 may hecoupled to the second link 30 by seating the second end 60 of theintermediate link 32 in the first segmented hemisphere 106 of thepassage 104 of the second link 30. As the convex configuration of thesecond end 60 of the intermediate link 32 generally corresponds with theconcave configuration of the first segmented hemisphere 106 of thepassage 104 of the second link 30, the intermediate link 32 may becoupled to the second link 30 such that the longitudinal axis 62 and thefirst, second and third grooves 70, 72, 74 of the intermediate link 32are respectively aligned with the longitudinal axis 90 and the first,second and third grooves 98, 100, 102 of the second link 30. The secondlink 30 may be moved relative to the intermediate link 32 coupledthereto such that the respective longitudinal axes 62, 90 are notaligned. According to various embodiments, the configuration of thesecond link 30 allows for an intermediate link 32 coupled thereto to bemoved relative to the second link 30 such that the respectivelongitudinal axes 62, 90 are up to approximately 25° out of alignmentwith one another.

FIG. 6 illustrates various embodiments of the second mechanism 14 of thedevice 10. The second mechanism 14 is a multi-linked mechanism andincludes a first end 120 and a second end 122. The first end 120 may beconsidered the proximal end and the second end 122 may be considered thedistal end. The second mechanism 14 includes a first link 124, a secondlink 126, and any number of intermediate links 128 between the first andsecond links 124, 126. The first link 124 may be considered the proximallink, and the second link 126 may be considered the distal link.

FIGS. 7A-7C illustrate various embodiments of the first link 124 (outerproximal link) of the second mechanism 14. The first link 124 includes afirst end 130 and a second end 132, and defines a longitudinal axis 134that passes through the center of the first end 130 and the center ofthe second end 132 as shown in FIG. 7B. The first link 124 may befabricated from any suitable material. According to various embodiments,the first link 124 is fabricated from a stainless steel material suchas, for example, 316 stainless steel. The first link 124 has a generallybullet-shaped exterior and is described in more detail hereinbelow.

The first link 124 includes a first portion 136 and a second portion138. The first portion 136 may be considered the proximal portion andthe second portion 138 may be considered the distal portion. The firstportion 136 may be fabricated integral with the second portion 138. Thefirst portion 136 has a cylindrical shaped exterior, and extends fromthe first end 130 of the first link 124 toward the second end 132 of thefirst link 124. According to various embodiments, the diameter of thefirst portion 136 is on the order of approximately 12.70 millimeters.

The second portion 138 has a generally cylindrically shaped exterior.The second portion 138 has a cylindrically shaped exterior where itcontacts the first portion 136, and tapers toward the second end 132 ofthe first link 124. The second portion 138 may be shaped in the form ofa generally segmented hemisphere at the second end 132 of the first link124. According to various embodiments, the diameter of the secondportion 138 is on the order of approximately 9.50 millimeters where itcontacts the first portion 136.

The second portion 138 includes a first surface 140. The first surface140 may be considered the outer surface of the second portion 138. Thesecond portion 138 defines a first groove 142 along the first surface140, a second groove 144 along the first surface 140, and a third groove146 along the first surface 140. Each of the first, second and thirdgrooves 142, 144, 146 are oblique relative to the longitudinal axis 134and extend along the first surface 140 toward the second end 132 of thefirst link 124. According to various embodiments, each of the grooves142, 144, 146 are oriented at an angle on the order of approximately 15°relative to the longitudinal axis 134. As shown in FIG. 7C, the first,second and third grooves 142, 144, 146 may be evenly spaced about thefirst surface 140 of the first link 124. According to variousembodiments, the first, second, and third grooves 142, 144, 146 may beconfigured in the shape of a segmented cylinder. The size of each of thegrooves 142, 144, 146 may identical to one another or may be differentfrom one another. For example, according to various embodiments, each ofthe grooves 142, 144, 146 are configured as segments of respectivecylinders having diameters on the order of approximately 3.0millimeters. The first, second and third grooves 142, 144, 146 are eachconfigured to facilitate the introduction various tools or instruments(e.g., ablation tools) into the multi-linked device 10. The length ofthe first link 124 may be on the order of approximately 18.5millimeters. However, one skilled in the art will appreciate that thelength of the first link 124 can vary based on the application.

The first link 124 also defines a passage 148 extending from the firstend 130 to the second end 132 along the longitudinal axis 134 as shownin FIG. 7B. The passage 148 is of a size sufficient to allow the firstmechanism 12 to pass therethrough. According to various embodiments, thepassage 148 is generally configured as a complex shape that includes acombination of a segmented cone 150 that extends from the first end 130toward the second end 132, and a cylinder 152 that extends from thesegmented cone 150 to the second end 132 of the first link 124.According to various embodiments, the segmented cone 150 has a diameteron the order of approximately 7.0 millimeters at the first end 130 ofthe first link 124, and is tapered at an angle on the order ofapproximately 45° relative to the longitudinal axis 134. The cylinder152 has a diameter on the order of approximately 5.50 millimeters.

The first link 124 also defines a first through-hole 154, a secondthrough-hole 156, and a third through-hole 158. (See FIG. 7C). The firstthrough-hole 154 is substantially parallel to the longitudinal axis 134,extends from the first portion 136 toward the second end 132, and ispositioned between the passage 148 and the first surface 140. The secondthrough-hole 156 is substantially parallel to the longitudinal axis 134,extends from the first portion 136 to the second end 132, and ispositioned between the passage 148 and the first surface 140. The thirdthrough-hole 158 is substantially parallel to the longitudinal axis 134,extends from the first portion 136 to the second end 132, and ispositioned between the passage 148 and the first surface 140. The first,second and third through-holes 154, 156, 158 are generally cylindricallyshaped. According to various embodiments, the through-holes 154, 156,158 are evenly spaced from one another as shown in FIG. 7C. The size ofeach of the through-holes 154, 156, 158 may be identical to one anotheror may be different from one another. For example, according to variousembodiments, the respective diameters associated with the through-holes154, 156, 158 may each be on the order of approximately 1.20millimeters. The first through-hole 154 is configured to receive andsurround the first cable 16. The second through-hole 156 is configuredto receive and surround the second cable 18. The third through-hole 158is configured to receive and surround the third cable 20. The first,second and third through-holes 154, 156, 158 may serve as guidepaths formovement of the first, second and third cables 16, 18, 20.

FIGS. 8A-8C illustrate various embodiments of one of the intermediatelinks 128 (outer intermediate link) of the second mechanism 14. Theintermediate link 128 is representative of the other intermediate links128. The intermediate link 128 includes a first end 160 and a second end162, and defines a longitudinal axis 164 that passes through the centerof the first end 160 and the center of the second end 162 as shown inFIG. 8B. The intermediate link 128 may be fabricated from any suitablematerial. According to various embodiments, the intermediate link 128 isfabricated from a polymer thermoplastic material such as, for example,polysulfone. The intermediate link 128 has a generally bullet-shapedexterior and is described in more detail hereinbelow.

The intermediate link 128 includes a first portion 166 and a secondportion 168. The first portion 166 may be considered the proximalportion and the second portion 168 may be considered the distal portion.The first portion 166 may be fabricated integral with the second portion168. The first portion 166 has a generally cylindrical shaped exterior,and extends from the first end 160 of the intermediate link 128 towardthe second end 162 of the intermediate link 128. According to variousembodiments, the second portion 168 has a generally cylindrically shapedexterior where it contacts the first portion 166, and tapers toward thesecond end 162 of the intermediate link 128. The exterior of the secondportion 168 is configured in the form of a generally segmentedhemisphere. According to various embodiments, the diameter of theintermediate link 128 is on the order of approximately 9.65 millimetersat the first end 160 thereof. The length of the intermediate link 128may be on the order of approximately 8.40 millimeters. However, oneskilled in the art will appreciate that the length of the intermediatelink 128 can vary based on the application.

The intermediate link 128 also includes a first surface 170 that extendsfrom the first end 160 of the intermediate link 128 to the second end162 of the intermediate link 128, and a second surface 170 that extendsfrom the first end 160 of the intermediate link 128 to the second end162 of the intermediate link 128. The first surface 170 may beconsidered the outer surface of the intermediate link 128, and thesecond surface 172 may be considered the inner surface of theintermediate link 128. The intermediate link 32 also defines a firstgroove 174 substantially parallel to the longitudinal axis 164 along thesecond surface 172, a second groove 176 substantially parallel to thelongitudinal axis 164 along the second surface 172, and a third groove178 substantially parallel to the longitudinal axis 164 along the secondsurface 172. Each of the first, second and third grooves 174, 176, 178extend along the second surface 172 toward the second end 162 of theintermediate link 128. The first, second and third grooves 174, 176, 178may be semi-tubular shaped and may be evenly spaced about the secondsurface 172 of the intermediate link 128 as shown in FIG. 8C. Accordingto various embodiments, the first, second, and third grooves 174, 176,178 may be configured in the shape of a segmented cylinder. The size ofeach of the grooves 174, 176, 178 may identical to one another or may bedifferent from one another. For example, according to variousembodiments, the first and second grooves 174, 176 are configured assegments of cylinders having diameters on the order of approximately1.75 millimeters at the first end 160 of the intermediate link 128, andthe third groove 178 is configured as a segment of a cylinder having adiameter on the order of approximately 2.50 millimeters at the first end160 of the intermediate link 128. The first, second and third grooves174, 176, 178 are each configured to receive and partially surround anyof a variety of tools or instruments (e.g., ablation tools) which maypass from the first end 24 of the multi-linked device 10 to the secondend 26 of the multi-linked device 10.

The intermediate link 128 also defines a passage 180 extending from thefirst end 160 to the second end 162 along the longitudinal axis 164 asshown in FIG. 8B. The passage 180 is of a size sufficient to allow thefirst mechanism 12 to pass therethrough. According to variousembodiments, the passage 180 is generally configured as a complex shapethat includes a combination of a segmented hemisphere 182 that extendsfrom the first end 160 toward the second end 162, a first segmented cone184 that extends from the segmented hemisphere 182 toward the second end162, a cylinder 186 that extends from the first segmented cone 184toward the second end 162, and a second segmented cone 188 that extendsfrom the cylinder 186 to the second end 162 of the intermediate link128. According to various embodiments, the segmented hemisphere 182represents a portion of a sphere having a diameter on the order ofapproximately 9.65 millimeters, the first segmented cone 184 is taperedat an angle on the order of approximately 15° relative to thelongitudinal axis 164, the cylinder 186 has a diameter on the order ofapproximately 5.50 millimeters, and the second segmented cone 188 istapered at an angle on the order of approximately 15° relative to thelongitudinal axis 164. The segmented hemisphere 182 of the passage 180is configured to receive the second end 132 of the first link 124 whenthe first link 124 is coupled to the intermediate link 128. Similarly,for a given intermediate link 128, the segmented hemisphere 182 of thepassage 180 is configured to receive the second end 162 of anotherintermediate link 128 when the other intermediate link 128 is coupled tothe given intermediate link 128.

The intermediate link 128 also defines a first through-hole 190, asecond through-hole 192, and a third through-hole 194. (See FIG. 8C).The first through-hole 190 is substantially parallel to the longitudinalaxis 164, extends from the first portion 166 toward the second end 162,and is positioned between the passage 180 and the first surface 170. Thesecond through-hole 192 is substantially parallel to the longitudinalaxis 164, extends from the first portion 166 to the second end 162, andis positioned between the passage 180 and the first surface 170. Thethird through-hole 194 is substantially parallel to the longitudinalaxis 164, extends from the first portion 166 to the second end 162, andis positioned between the passage 180 and the first surface 170. Thefirst, second and third through-holes 190, 192, 194 are generallycylindrically shaped. According to various embodiments, thethrough-holes 190, 192, 194 are evenly spaced from one another. The sizeof each of the through-holes 190, 192, 194 may be identical to oneanother or may be different from one another. For example, according tovarious embodiments, the respective diameters associated with thethrough-holes 190, 192, 194 may each be on the order of approximately1.25 millimeters. The first through-hole 190 is configured to receiveand surround the first cable 16. The second through-hole 192 isconfigured to receive and surround the second cable 18. The thirdthrough-hole 194 is configured to receive and surround the third cable20. The first, second and third through-holes 190, 192, 194 may serve asguidepaths for movement of the first, second and third cables 16, 18,20.

As shown in FIG. 8C, the intermediate link 128 also defines first,second and third indents 196, 198, 200 at the second end 162 thereofresulting, in part, from the combination of the taper associated withthe second portion 168 and the configuration and orientation of thefirst, second, and third grooves 174, 176, 178. The first, second andthird indents 196, 198, 200 may be evenly spaced about the second end162 of the intermediate link 128 as shown in FIG. 8C. The first, secondand third indents 196, 198, 200 may serve to reduce the pinching orbinding of various tools or instruments (e.g., ablation tools) when oneintermediate link 128 of the second mechanism 14 is moved relative toanother intermediate link 128 coupled thereto.

The intermediate link 128 also defines fourth, fifth and sixth indents202, 204, 206 at the second end 162 thereof resulting from thecombination of the taper associated with the second portion 168 and theconfiguration and orientation of the first, second, and thirdthrough-holes 190, 192, 194. The fourth, fifth and sixth indents 202,204, 206 may be evenly spaced about the second end 162 of theintermediate link 128, and may be evenly spaced from the first, secondand third indents 196, 198, 200 as shown in FIG. 8C. The fourth, fifthand sixth indents 202, 204, 206 may serve to reduce the pinching orbinding of the first, second and third cables 16, 18, 20 when oneintermediate link 128 of the second mechanism 14 is moved relative toanother intermediate link 128 coupled thereto.

According to various embodiments, an intermediate link 128 may alsodefine an opening (not shown) that extends from the second surface 172or from one of the grooves 174, 176, 178 to the first surface 170 of theintermediate link 128. The intermediate link 128 may have any number ofsuch openings, and any number of the intermediate links 128 may havesuch openings. The opening may be utilized as an exit point for a toolor instrument which may pass from the first end 24 of the multi-linkeddevice 10 toward the second end 26 of the multi-linked device 10. Forsuch embodiments, the respective intermediate link 128 may be positionedproximate the second link 126 of the second mechanism 14. The openingmay be oriented at any angle relative to the longitudinal axis 134 ofthe intermediate link 128. When the first mechanism 12 is removed fromthe second mechanism 14, and a relatively large tool or instrument isadvanced from the first end 120 of the second mechanism 14 to the secondend 122 of the second mechanism 14, sufficient room may not exist for asecond tool or instrument (e.g., fiber optic cable) to pass through thesecond end 122 of the second mechanism 14. For such instances, thesecond tool or instrument may exit through an opening of one of theintermediate links 128.

With the above described structure, the first link 124 may be coupled tothe intermediate link 128 by seating the second end 132 of the firstlink 124 in the segmented hemisphere 182 of the passage 180 of theintermediate link 128. As the convex configuration of the second end 132of the first link 124 generally corresponds with the concaveconfiguration of the segmented hemisphere 182 of the passage 180 of theintermediate link 128, the first link 124 may be coupled to theintermediate link 128 such that the longitudinal axis 134, the first,second and third grooves 142, 144, 146, and the first, second and thirdthrough-holes 154, 156, 158 of the first link 124 are respectivelyaligned with the longitudinal axis 164, the first, second and thirdgrooves 174, 176, 178, and the first, second and third through-holes190, 192, 194 of the intermediate link 128. The intermediate link 128may be moved relative to the first link 124 such that the longitudinalaxis 164 of the intermediate link 128 is not aligned with thelongitudinal axis 134 of the first link 124. According to variousembodiments, the configuration of the first link 124 and theintermediate link 128 allows for the intermediate link 128 to be movedrelative to the first link 124 coupled thereto such that thelongitudinal axis 134 of the first link 124 and the longitudinal axis164 of the intermediate link 128 are up to approximately 10° out ofalignment with one another. Similarly, one intermediate link 128 may becoupled to another intermediate link 128, and so on, by seating thesecond end 162 of one intermediate link 128 in the segmented hemisphere182 of the passage 180 of another intermediate link 128. As the convexconfiguration of the second end 162 of the intermediate link 128generally corresponds with the concave configuration of the segmentedhemisphere 182 of the passage 180 of the intermediate link 128, theintermediate links 128 may be coupled such that the respectivelongitudinal axes 164, the respective first, second and third grooves174, 176, 178, and the respective first, second and third through-holes190, 192, 194 of the intermediate links 128 are aligned. The coupledintermediate links 128 may be moved relative to one another such thatthe respective longitudinal axes 164 of the coupled intermediate links128 are not aligned. According to various embodiments, the configurationof the coupled intermediate links 128 allows for one intermediate link128 to be moved relative to another intermediate link 128 coupledthereto such that the respective longitudinal axes 164 are up toapproximately 10° out of alignment with one another.

FIGS. 9A-9D illustrate various embodiments of the second link 126 (outerdistal link) of the second mechanism 14. The second link 126 includes afirst end 208 and a second end 210, and defines a longitudinal axis 212that passes through the center of the first end 208 and the center ofthe second end 210 as shown in FIG. 9C. The second link 126 may befabricated from any suitable material. According to various embodiments,the second link 126 is fabricated from a thermoplastic material such as,for example, Delrin®.

The second link 126 includes a first portion 214 and a second portion216. The first portion 214 may be considered the proximal portion andthe second portion 216 may be considered the distal portion. The firstportion 214 may be fabricated integral with the second portion 216. Thefirst portion 214 has a generally cylindrical shaped exterior, andextends from the first end 208 of the second link 126 toward the secondend 210 of the second link 126. According to various embodiments, thediameter of the first portion 214 is on the order of approximately 4.80millimeters.

According to various embodiments, the second portion 216 has a generallycylindrically shaped exterior where it contacts the first portion 214,and tapers toward the second end 210 of the second link 126. Theexterior of the second portion 216 is configured in the form of agenerally segmented cone. According to various embodiments, the exteriorof the second portion 216 tapers from the first portion 214 to thesecond end 210 of the second link 126 at an angle on the order ofapproximately 20° relative to the exterior of the first portion 214. Thelength of the second link 126 may be on the order of approximately 15millimeters. However, one skilled in the art will appreciate that thelength of the second link 126 can vary based on the application.

The second link 126 also includes a first surface 218 that extends fromthe first end 208 of the second link 126 to the second end 210 of thesecond link 126, and a second surface 220 that extends from the firstend 208 of the second link 126 toward the second end 210 of the secondlink 126. The first surface 218 may be considered the outer surface ofthe second link 126, and the second surface 220 may be considered theinner surface of the second link 126.

The second link 126 also defines a first port 222, a second port 224,and a third port 226. (See FIG. 9B). The first port 222 extends from thesecond surface 220 to the first surface 218 and is substantiallyparallel to the longitudinal axis 212. The second port 224 extends fromthe second surface 220 to the first surface 218 and is substantiallyparallel to the longitudinal axis 212. The third port 226 extends fromthe second surface 220 to the first surface 218 and is substantiallyparallel to the longitudinal axis 212. The first, second and third ports222, 224, 226 may be cylindrical shaped and may be evenly spaced aboutthe longitudinal axis 212 of the second link 126 as shown in FIG. 9D.The size of each of the ports 222, 224, 226 may identical to one anotheror may be different from one another. For example, according to variousembodiments, the first and second ports 222, 224 are configured ascylinders having diameters on the order of approximately 1.50millimeters, and the third port 226 is configured as a cylinder having adiameter on the order of approximately 2.50 millimeters. The first,second and third ports 222, 224, 226 are each configured to receive andsurround any of a variety of tools or instruments (e.g., ablation tools)which may pass from the first end 24 of the multi-linked device 10 tothe second end 26 of the multi-linked device 10.

The second link 126 also defines a first through-hole 228, a secondthrough-hole 230, and a third through-hole 232. (See FIG. 9B). The firstthrough-hole 228 extends from the second surface 220 to the firstsurface 218 and is substantially parallel to the longitudinal axis 212.The second through-hole 230 extends from the second surface 220 to thefirst surface 218 and is substantially parallel to the longitudinal axis212. The third through-hole 232 extends from the second surface 220 tothe first surface 218 and is substantially parallel to the longitudinalaxis 212. The first, second and third through-holes 228, 230, 232 aregenerally cylindrically shaped. According to various embodiments, thethrough-holes 228, 230, 232 are evenly spaced from one another as shownin FIG. 9D. The size of each of the through-holes 228, 230, 232 may beidentical to one another or may be different from one another. Forexample, according to various embodiments, the respective diametersassociated with the through-holes 228, 230, 232 may each be on the orderof approximately 1.25 millimeters. The first through-hole 228 isconfigured to receive and surround the first cable 16. The secondthrough-hole 230 is configured to receive and surround the second cable18. The third through-hole 232 is configured to receive and surround thethird cable 20. As shown in FIG. 9D, each of the through-holes 228, 230,232 may include a respective counter-bored section 228 a, 230 a, 232 aat the distal end of the through-holes 228, 230, 232.

The second link 126 also defines a recess 234 that extends from thefirst end 208 toward the second end 210 along the longitudinal axis 212as shown in FIG. 9C. According to various embodiments, the recess 234 isgenerally configured as a complex shape that includes a combination of afirst segmented hemisphere 236 that extends from the first end 208toward the second end 210, and a second segmented hemisphere 238 thatextends from the first segmented hemisphere 236 toward the second end210 of the second link 126. According to various embodiments, the firstsegmented hemisphere 236 represents a portion of a sphere having adiameter on the order of approximately 9.50 millimeters, and secondsegmented hemisphere 238 represents a portion of a sphere having adiameter on the order of approximately 7.0 millimeters. The firstsegmented hemisphere 236 of the recess 234 is configured to receive thesecond end 162 of an intermediate link 128 when the intermediate link128 is coupled to the second link 126.

With the above described structure, an intermediate link 128 may becoupled to the second link 126 by seating the second end 162 of theintermediate link 128 in the first segmented hemisphere 236 of therecess 234 of the second link 126. As the convex configuration of thesecond end 162 of the intermediate link 128 generally corresponds withthe concave configuration of the first segmented hemisphere 236 of therecess 234 of the second link 126, the inter-mediate link 128 may becoupled to the second link 126 such that the longitudinal axis 164, thefirst, second and third grooves 174, 176, 178, and the first, second andthird through-holes 190, 192, 194 of the intermediate link 128 arerespectively aligned with the longitudinal axis 212, the first, secondand third ports 222, 224, 226, and the first, second and thirdthrough-holes 228, 230, 232 of the second link 126. The second link 126may be moved relative to the intermediate link 128 coupled thereto suchthat the respective longitudinal axes 164, 212 are not aligned.According to various embodiments, the configuration of the second link126 allows for an intermediate link 128 coupled thereto to be movedrelative to the second link 126 such that the respective longitudinalaxes 164, 212 are up to approximately 10° out of alignment with oneanother.

When the first mechanism 12 is inserted into the second mechanism 14,the first second and third grooves 70, 72, 74 of the intermediate links32 of the first mechanism 12 may be substantially aligned with thefirst, second and third grooves 174, 176, 178 of the intermediate links128 of the second mechanism 14, and the first, second and third grooves98, 100, 102 of the second link 30 of the first mechanism 12 may besubstantially aligned with the first, second and third ports 222, 224,226 of the second link 126 of the second mechanism 14. The combinationof the first grooves 70 of the intermediate links 32 of the firstmechanism 12 aligned with the first grooves 174 of the intermediatelinks 128 of the second mechanism 14 allows the respective first grooves70, 174 to collectively serve as a first working port that issubstantially aligned with the first port 222 of the second link 126 ofthe second mechanism 14. As used herein, the term “working port” means apassageway through which a device (e.g., a camera, a fiber optic, anablation tool, a surgical instrument, etc.) can pass. The first groove70 may be considered the inner portion of the first working port and thefirst groove 174 may be considered the outer portion of the firstworking port.

Similarly, the combination of the second grooves 72 of the intermediatelinks 32 of the first mechanism 12 aligned with the second grooves 176of the intermediate links 128 of the second mechanism 14 allows therespective second grooves 72, 176 to collectively serve as a secondworking port that is substantially aligned with the second port 224 ofthe second link 126 of the second mechanism 14, and the combination ofthe third grooves 74 of the intermediate links 32 of the first mechanism12 aligned with the third grooves 178 of the intermediate links 128 ofthe second mechanism 14 allows the respective third grooves 74, 178 tocollectively serve as a third working port that is substantially alignedwith the third port 226 of the second link 126 of the second mechanism14. The second groove 72 may be considered the inner portion of thesecond working port and the second groove 176 may be considered theouter portion of the second working port. The third groove 74 may beconsidered the inner portion of the third working port and the thirdgroove 178 may be considered the outer portion of the third workingport. The first, second and third working ports may be utilized to passvarious tools or instruments (e.g., ablation tools) from the first end24 of the multi-linked device 10 to the second end 26 of themulti-linked device 10. For the exemplary sizes described hereinabove,the third working port is larger than the first and second workingports. Accordingly, the third working port may be utilized to carry aparticular tool or instrument that is too large to be carried by thefirst or second working ports.

When the respective grooves 70, 72, 74, 174, 176, 178 of the respectiveintermediate links 32, 128 are aligned and collectively surround thevarious tools and instruments, the combination of the grooves 70, 72,74, 174, 176, 178 and the tools and instruments may serve to limit orprevent the rotation of the first mechanism 12 relative to the secondmechanism 14.

As the diameter of the passage 180 of the intermediate link 128 of thesecond mechanism 14 is larger than the diameter of any portion of thefirst mechanism 12, a three-dimensional space 240 exists between thefirst mechanism 12 and the second mechanism 14 when the first mechanism12 is received by the second mechanism 14 (See FIG. 1B). According tovarious embodiments, the space 240 may be utilized to carry wiring,tools, instruments, etc. from the first end 24 of the multi-linkeddevice 10 toward the second end 26 of the multi-linked device 10.

The first, second and third cables 16, 18, 20 may be fabricated from anysuitable material. For example, according to various embodiments, thecables 16, 18, 20 may be fabricated from a polyethylene fiber cable suchas, for example, Spectra®. The cables 16, 18, 20 may be utilized tocontrol the movement of the multi-linked device 10. For example, byapplying a substantially equal tension to each of the cables 16, 18, 20,the first mechanism 12 and/or second mechanism 14 may be steered in adirection such that the respective longitudinal axes 38, 62, 90, 134,164, 212 of each of the links 28, 30, 32, 124, 126, 128 are all aligned.By applying a different tension to one or more of the cables 16, 18, 20,the first mechanism 12 and/or the second mechanism 14 may be steered ina direction such that the respective longitudinal axes 38, 62, 90, 134,164, 212 of each of the links 28, 30, 32, 124, 126, 128 are not allaligned. The cables 16, 18, 20 may also be utilized to control therelative state of the second mechanism 14. For example, when a uniformtension is applied to the cables 16, 18, 20, the second mechanism 14 isplaced in a “rigid” state, and when a tension is removed from the cables16, 18, 20, the second mechanism 14 is placed in a “limp” state.According to various embodiments, the cables 16, 18, 20 may be attachedat the first end 130 of the first link 124 of the second mechanism 14 torespective pullies (not shown) by, for example, respective stopperknots. The cables 16, 18, 20 may be attached to the second end 132 ofthe second link 126 of the second mechanism 14 by, for example,respective stopper knots positioned in the counter-bored sections 228 a,230 a, 232 a of the second link 126. One skilled in the art willappreciate that, according to other embodiments, the “rigid” and “limp”states may be achieved by subjecting the first and/or second mechanisms12, 14 to a twisting force, or by any other manner known in the art.

The fourth cable 22 may be fabricated from any suitable material. Forexample, according to various embodiments, the cable 22 may befabricated from a polyethylene fiber cable such as, for example,Spectra®. The fourth cable 22 may be utilized to control the relativestate of the first mechanism 12. For example, when the fourth cable 22is drawn tight, the first mechanism 12 is placed in a “rigid” state,whereas when the fourth cable 22 is let loose, the first mechanism 12 isplaced in a “limp” state. According to various embodiments, the fourthcable 22 may be attached at the first end 34 of the first link 28 of thefirst mechanism 12 to a pulley (not shown) by, for example, a stopperknot. The fourth cable 22 may be attached to the second end 88 of thesecond link 30 of the first mechanism 12 by, for example, a stopperknot.

FIG. 10 illustrates various embodiments of a motion sequence of thesteerable multi-linked device 10. At the start of the sequence, thesecond mechanism 14 surrounds the first mechanism 12 as shown in step“a” of FIG. 10, the longitudinal axes 38, 62, 90 of the links 28, 30, 32of the first mechanism 12 are substantially aligned with the respectivelongitudinal axes 134, 164, 212 of the links 124, 126, 128 of the secondmechanism, and the second end 26 of the first mechanism 12 is atsubstantially the same position as the second end 122 of the secondmechanism 14. The fourth cable is pulled tight, thereby placing thefirst mechanism 12 in the rigid mode. The cables 16, 18, 20 are notpulled tight, thereby placing the second mechanism 14 in the limp mode.

The second mechanism 14 is then advanced so that its second link 126 ispositioned approximately one link ahead of the second end 24 of thefirst mechanism 12 as shown in step “b” of FIG. 10. The cables 16, 18,20 may be utilized to orient the second link 126 to a particularorientation, where the longitudinal axis 134 of the first link 124 is nolonger aligned with the longitudinal axes 164 of the intermediate links128 of the second mechanism 14 or the longitudinal axis 90 of the secondlink 30 of the first mechanism 12. After the second link 126 is in thedesired position and orientation, the cables 16, 18, 20 are pulled withidentical force in order to place the second mechanism 14 in the rigidmode, thereby preserving the position and orientation of the secondmechanism 14.

The pulling force of the fourth cable 22 is then released to place thefirst mechanism 12 the limp mode. After the first mechanism 12 is placedin the limp mode, the first mechanism 12 is advanced so that its secondlink 30 is at substantially the same position as the second end 122 ofthe second mechanism 14 as shown in step “c” of FIG. 10. After thesecond link 30 of the first mechanism 12 is in the desired position andorientation, the fourth cable 22 is pulled tight to place the firstmechanism 12 back in the rigid mode, thereby preserving the position andorientation of the first mechanism 12.

The pulling forces of the cables 16, 18, 20 are then released to placethe second mechanism 14 back in the limp mode. After the secondmechanism 14 is placed back in the limp mode, the second mechanism 14 isadvanced so that its second link 126 is once again positionedapproximately one link ahead of the second end 26 of the first mechanism12 as shown in step “d” of FIG. 10. After the second link 126 is in thedesired position and orientations the cables 16, 18, 20 are pulled withidentical force in order to place the second mechanism 14 in the rigidmode, thereby preserving the position and orientation of the secondmechanism 14.

The pulling force of the fourth cable 22 is then released to place thefirst mechanism 12 back in the limp mode. After the first mechanism 12is placed back in the limp mode, the first mechanism 12 is advanced sothat its second link 30 is once again at substantially the same positionas the second end 122 of the second mechanism 14 as shown in step “e” ofFIG. 10. After the second link 30 of the first mechanism 12 is in thedesired position and orientation, the fourth cable 22 is pulled tight toplace the first mechanism 12 back in the rigid mode, thereby preservingthe position and orientation of the first mechanism 12. The generalmotion sequence described hereinabove, may be repeated any number oftimes, and the second link 126 of the second mechanism 14 may beadvancing in any direction and orientation. One skilled in the art willappreciate that any number of motion sequences may be utilized with themulti-linked device 10. For example, according to various embodiments,the second mechanism 14 may advance any number of links ahead of thefirst mechanism 12.

The exemplary sizes described hereinabove are generally relative to eachother, and one skilled in the art will appreciate that the multi-linkeddevice 10 can be scaled up or scaled down. For example, although thediameter at the largest portion of the intermediate link 128 of themulti-linked device 10 is on the order of approximately 9.65 millimetersfor the embodiments described hereinabove, one skilled in the art willappreciate that, for other embodiments, the intermediate link 128 can bescaled down such that the diameter at the largest portion of theintermediate link 128 of the multi-linked device 10 is on the order ofapproximately 1.0 millimeter. For such embodiments, each of the othercomponents of the multi-linked device 10 would also be proportionallyscaled down.

The combination of the unique configuration of the respective links 28,30, 32 which comprise the first mechanism 12 and the uniqueconfiguration of the respective links 124, 126, 128 which comprise thesecond mechanism 14 provides the multi-linked device 10 with the abilityto traverse a path defined by the circumference of a circle having arelatively small radius. For example, for the exemplary sizes describedhereinabove, the multi-linked device 10 can traverse a path defined bythe circumference of a circle having a radius on the order ofapproximately 40 millimeters. An example of the multi-linked device 10navigating such tight curvatures is shown in FIG. 11. For embodimentswhere the outer diameter of the multi-linked device 10 is on the orderof approximately 1.0 millimeter, the multi-linked device 10 can traversea path defined by the circumference of a circle having a radius on theorder of approximately 4.0 millimeters. Stated differently, themulti-linked device 10 can traverse a path defined by circumference of acircle having a radius which is approximately only four times the outerdiameter of the device. One skilled in the art will appreciate that theability to navigate such tight curvatures makes the multi-linked device10 suitable for use in a number of different minimally invasiveprocedures, both in luminal spaces and in intracavity spaces.

FIGS. 12A-12C illustrate various embodiments of the modular linkassembly 300. When utilized with the steerable multi-linked device 10described hereinabove, the modular link assembly 300 may replace thesecond link 126 of the second mechanism 14, and may thus serve as thedistal link of the second mechanism 14. The modular link assembly 300includes a base 302, and a tip 304 removably connected to the base 302.The link assembly 300 may be considered “modular” in that a variety ofdifferent tips 304 may be connected to and removed from the base 302.The specific type of tip 304 utilized at a given point in time may varydepending on the particular application.

The tip 304 is shown connected to the base 302 in FIG. 12A, and is shownremoved from the base 302 in FIG. 12B. The tip 304 may be removablyconnected to the base 302 in any suitable manner. According to variousembodiments, the tip 304 may be threadedly connected to the base 302 asshown in FIG. 12C. According to other embodiments, the tip 304 may beconnected to the base 302 via a snap-fit or any other suitableconnection. Those skilled in the art will appreciate that a variety ofdifferent connection types may be utilized to connect the tip 304 to thebase 302. By way of example, the modular link assembly 300 will bedescribed for embodiments where the tip 304 is removably connected tothe base 302 via a threaded connection. However, those skilled in theart will appreciate that the tip 304 may be removably connected to thebase 302 in any suitable manner.

FIGS. 13A-13C illustrate various embodiments of the base 302 of themodular link assembly 300. The base 302 includes a first end 306 and asecond end 308, and defines a longitudinal axis 310 that passes throughthe center of the first end 306 and the center of the second end 308 asshown in FIG. 13B. The base 302 may be fabricated from any suitablematerial. According to various embodiments, the base 302 is fabricatedfrom a thermoplastic material such as, for example, Delrin®. Accordingto other embodiments, the base 302 may be fabricated from, for example,an inert metal.

The base 302 includes a first portion 312, and a second portion 314connected to the first portion 312. According to various embodiments,the first portion 312 may be formed integral with the second portion314. The first portion 312 includes a first end 316 and a second end318, extends from the first end 306 of the base 302 toward the secondend 308 of the base 302, and has a generally cylindrical shapedexterior. According to various embodiments, the diameter of the firstportion 312 is on the order of approximately 9.65 millimeters, and thelength of the first portion 312 is on the order of approximately 3.85millimeters. However, one skilled in the art will appreciate that thediameter and length of the first portion 312 can vary based on theapplication. The first portion 312 also includes a first surface 320 anda second surface 322. (See FIG. 13B). The first surface 320 may beconsidered the outer surface of the first portion 312, and the secondsurface 322 may be considered the inner surface of the first portion312.

The first portion 312 of the base 302 defines a first through-hole 324,a second through-hole 326, and a third through-hole 328. (See FIG. 13C).Each of the through-holes 324, 326, 328 are substantially parallel tothe longitudinal axis 310, and include a first section 330 that extendsfrom the second surface 322 toward the second end 318 of the firstportion 312, and a second section 332 that extends from the firstsection 330 to the second end 318 of the first portion 312. (See FIG.13B). The respective second sections 332 may be considered counter-boredsections. Each of the first and second sections 330, 332 of the first,second and third through-holes 324, 326, 328 may be cylindricallyshaped, and may be evenly spaced about the longitudinal axis 310 of thebase 302 as shown in FIG. 13C. The size of each of the first sections330 may be identical to one another or may be different from oneanother. For example, according to various embodiments, the respectivediameters associated with the first sections 330 may each be on theorder of approximately 1 millimeter. Similarly, the size of each of thesecond sections 332 may be identical to one another or may be differentfrom one another. For example, according to various embodiments, therespective diameters associated with the second sections 332 may each beon the order of approximately 2 millimeters. The first through-hole 324is configured to receive and surround the first cable 16 of themulti-linked device 10. The second through-hole 326 is configured toreceive and surround the second cable 18 of the device 10. The thirdthrough-hole 328 is configured to receive and surround the third cable20 of the device 10.

According to various embodiments, the first portion 312 also defines afirst port 334, a second port 336, and a third port 338. (See FIG. 13C).The first port 334 extends from the second surface 322 of the firstportion 312 to the second end 318 of the first portion 312, and issubstantially parallel to the longitudinal axis 310. The second port 336extends from the second surface 322 of the first portion 312 to thesecond end 318 of the first portion 312, and is substantially parallelto the longitudinal axis 310. The third port 338 extends from the secondsurface 322 of the first portion 312 to the second end 318 of the firstportion 312, and is substantially parallel to the longitudinal axis 310.The first, second and third ports 334, 336, 338 may be cylindricalshaped and may be evenly spaced about the longitudinal axis 310 of thebase 302 as shown in FIG. 13C. The size of each of the ports 334, 336,338 may identical to one another or may be different from one another.For example, according to various embodiments, the first and secondports 334, 336 are configured as cylinders having diameters on the orderof approximately 1.50 millimeters, and the third port 338 is configuredas a cylinder having a diameter on the order of approximately 2.50millimeters. The first, second and third ports 334, 336, 338 are eachconfigured to receive and surround any of a variety of tools orinstruments (e.g. ablation tools) which may pass from the first end 24of the multi-linked device 10 toward the second end 26 of themulti-linked device 10.

The second portion 314 of the base 302 includes a first end 340 and asecond end 342, extends from the second end 318 of the first portion 312to the second end 308 of the base 302, and has a generally cylindricallyshaped exterior. According to various embodiments, the diameter of thesecond portion 314 is on the order of approximately 5 millimeters, andthe length of the second portion 314 is on the order of approximately 4millimeters. However, one skilled in the art will appreciate that thediameter and length of the second portion 314 can vary based on theapplication. The second portion 314 also includes a first surface 344and a second surface 346. The first surface 344 may be considered theouter surface of the second portion 314, and the second surface 346 maybe considered the inner surface of the second portion 314. As shown inFIGS. 13A and 133B, the first surface 344 of the second portion 314 maydefine a plurality of threads 348.

According to various embodiments, the threads 348 may define first,second and third grooves 350, 352, 354 which are respectively alignedwith the first, second and third ports 334, 336, 338 (See FIG. 13A).Thus, the first, second and third grooves 350, 352, 354 are also evenlyspaced about the longitudinal axis 310 of the base 302. As explainedherein below, the grooves 350, 352 354 may cooperate with groovesdefined by an interior surface of the tip 304 to form ports aligned withthe first, second and third ports 334, 336, 338 of the first portion312.

Collectively, the first and second portions 312, 314 also define apassage 356 that extends from the first end 306 of the base 302 to thesecond end 308 of the base 302 along the longitudinal axis 310 as shovein FIG. 13B. According to various embodiments, the passage 356 isgenerally configured as a complex shape that includes a combination of afirst segmented hemisphere 358 that extends from the first end 306toward the second end 308, a second segmented hemisphere 360 thatextends from the first segmented hemisphere 358 toward the second end308, and a cylinder 362 that extends from the second segmented cylinder360 to the second end 308 of the base 302. According to variousembodiments, the first segmented hemisphere 358 represents a portion ofa sphere having a diameter on the order of approximately 9.65millimeters, the second segmented hemisphere 360 represents a portion ofa sphere having a diameter on the order of approximately 8.0millimeters, and the cylinder has a diameter on the order ofapproximately 2.85 millimeters. The first segmented hemisphere 358 ofthe passage 356 is configured to receive the second end 162 of anintermediate link 128 of the multi-linked device 10 when theintermediate link 128 is coupled to the base 302.

With the above described structure, the most distal intermediate link128 may he coupled to the base 302 by seating the second end 162 of themost distal intermediate link 128 in the first segmented hemisphere 358of the passage 356 of the base 302. As the convex configuration of thesecond end 162 of the most distal intermediate link 128 generallycorresponds with the concave configuration of the first segmentedhemisphere 358 of the passage 356 of the base 302, the most distalintermediate link 128 may be coupled to the base 302 such that thelongitudinal axis 164, the first, second and third grooves 174, 176,178, and the first, second and third through-holes 190, 192, 194 of themost distal intermediate link 128 are respectively aligned with thelongitudinal axis 310, the first, second and third ports 334, 336, 338,and the first, second and third through-holes 324, 326, 328 of the base302. The base 302 may be moved relative to the intermediate link 128coupled thereto such that the respective longitudinal axes 164, 310 arenot aligned. According to various embodiments, the configuration of thebase 302 allows for an intermediate link 128 coupled thereto to be movedrelative to the base 302 such that the respective longitudinal axes 164,310 are up to approximately 10° out of alignment with one another.According to various embodiments, the base 302 may be permanentlycoupled to the most distal intermediate link 128 via the cables 16, 18,20 which pass through the most distal intermediate link 128. Forexample, the cables 16, 18, 20 may be attached to the base 302 of themodular link assembly 300 by, for example, respective stopper knotspositioned in the second sections 332 (counter-bored sections) of thebase 302. By controlling the tension placed on each of the cables 16,18, 20, the cables 16, 18, 20 may be utilized to control the movement ofthe base 302 relative to the most distal intermediate link 128.

FIGS. 14A-14D illustrate various embodiments of the tip 304 of themodular link assembly 300. The tip 304 includes a first end 364 and asecond end 366, and defines a longitudinal axis 368 that passes throughthe center of the first end 364 and the center of the second end 366 asshown in FIG. 14C. The tip 304 may be fabricated from any suitablematerial. According to various embodiments, the tip 304 is fabricatedfrom a thermoplastic material such as, for example, Delrin®.

The exterior of the tip 304 is configured in the form of a generallysegmented cone, and tapers from the first end 364 toward the second end366 thereof. According to various embodiments, the exterior of the tip304 tapers from the first end 364 to the second end 366 at an angle onthe order of approximately 15° relative to the longitudinal axis 368.According to various embodiments, the diameter of the tip 304 at thefirst end 364 is on the order of approximately 9.65 millimeters, thediameter of the tip 304 at the second end 366 is on the order ofapproximately 3.33 millimeters, and the length of the tip 304 is on theorder of approximately 14.5 millimeters. However, one skilled in the artwill appreciate that the respective diameters and the length of the tip304 can vary based on the application.

The tip 304 also includes a first surface 370 that extends from thefirst end 364 to the second end 366 thereof, and a second surface 372that extends from the first end 364 toward the second end 366 thereof.The first surface 370 may be considered the outer surface of the tip304, and the second surface 372 may be considered the inner surface ofthe tip 304.

As shown in FIG. 14B, the second surface 372 may define a plurality ofthreads 374 which are structured and arranged to cooperate with thethreads 348 of the base 302 to threadably connect the tip 304 to thebase 302. The second surface 372 may also define first, second and thirdgrooves 376, 378, 380 which may be evenly spaced about the longitudinalaxis 368 of the tip 304 and may be respectively aligned with the first,second and third grooves 350, 352, 354 of the base 302 when the tip 304is threadedly connected to the base 302. As explained hereinabove, thegrooves 376, 378, 380 may cooperate with grooves 350, 352, 354 to formportions of first, second and third ports 382, 384, 386 (See FIG. 14D)which may be respectively aligned with the first, second and third ports334, 336, 338 of the first portion 312 of the base 302 when the tip 304is threadedly connected to the base 302. Other portions of the first,second and third ports 382, 384, 386 may be defined by the secondsurface 372, and may extend from the threads 374 to the first surface370 of the tip 304. The first, second and third ports 382, 384, 386 mayeach be substantially parallel to the longitudinal axis 368 and may begenerally cylindrical shaped.

With the threaded connection, the distance between the first portion 312of the base 302 and the first end 364 of the tip 304 can be adjusted bysimply rotating the tip 304 about the second portion 314 of the base302. Stated differently, with the threaded connection, the overalllength of the modular link assembly 300 can be adjusted by simplyrotating the tip 304 about the second potion 314 of the base 302.Rotation of the tip 304 about the second portion 314 of the base 302 mayalso serve to open or close the ports 382, 384, 386 formed by thecooperation of the grooves 376, 378, 380 with the grooves 350, 352, 354.

As shown in FIG. 14D, the first, second and third ports 382, 384, 386may be evenly spaced about the longitudinal axis 368 of the tip 304. Thesize of each of the ports 382, 384, 386 may identical to one another ormay be different from one another. For example, according to variousembodiments, the first and second ports 382, 384 are configured ascylinders having diameters on the order of approximately 1.50millimeters, and the third port 386 is configured as a cylinder having adiameter on the order of approximately 2.50 millimeters. As shown inFIG. 14A, the generally conical shape of the tip 304 operates to“remove” a portion of each “cylinder” proximate the second end 366 ofthe tip 304. The first, second and third ports 382, 384, 386 are eachconfigured to receive and surround any of a variety of tools orinstruments (e.g. ablation tools) which may pass from the first end 24of the multi-linked device 10 toward the second end 26 of themulti-linked device 10.

The second surface 372 also defines a recess 388 that extends from thefirst end 364 of the tip 304 toward the second end 366 along thelongitudinal axis 368 as shown in FIG. 14C. According to variousembodiments, the recess 388 is generally configured as a complex shapethat includes a combination of a first cylinder 390 that extends fromthe first end 364 toward the second end 366, a second cylinder 392 thatextends from the first cylinder 392 toward the second end 366. Thecomplex shape may further include a cone 394 that extends from thesecond cylinder 392 toward the second end 366 of the tip 304.

As described hereinabove, according to various embodiments, the tip 304and base 302 may be structured and arranged such that the tip 304 isconnected to the base 302 via a snap-fit connection or other type ofconnection. For embodiments utilizing a snap-fit connection, the tip 304may still be rotated about the second portion 314 of the base 302, androtation of the tip 304 may still serve to open or close the ports 382,384, 386. Regardless of the type of connection, the movement of the tip304 in both luminal spaces and intracavity spaces may be controlled bycontrolling the movement of the base 302 when the tip 304 is connectedto the base 302. As described hereinabove, the movement of the base 302may be controlled by controlling the tension placed on each of thecables 16, 18, 20 coupled to the base 302.

As shown in FIG. 15, the modular link assembly 300 may also include aprinted circuit board 396. For purposes of clarity, the components ofthe modular link assembly 300 are shown in an exploded view. The printedcircuit board 396 defines an opening 398 which allows the printedcircuit board 396 to partially or fully surround the second portion 314of the base 302. According to various embodiments, the opening 398 is athreaded opening, and the printed circuit board 396 may be threadedlyconnected to the base 302. For such embodiments, the printed circuitboard 396 may define first, second and third grooves (not shown forpurposes of clarity) which may be respectively aligned with the first,second and third grooves 350, 352, 354 of the base 302 when the printedcircuit board 396 is threadedly connected to the base 302. The groovesdefined by the printed circuit board 396 may cooperate with grooves 350,352, 354 of the second portion 314 of the base 302 to form portions offirst, second and third ports 382, 384, 386 which are respectivelyaligned with the first, second and third ports 334, 336, 338 of thefirst portion 312 of the base 302.

According to other embodiments, the opening 398 may be configured toallow the printed circuit board 396 to be slid into position between thebase 302 and the tip 304. For such embodiments, the printed circuitboard 396 may be structured and arranged in any suitable shape. Forexample, for such embodiments, the printed circuit board 396 may beconfigured in the shape of a closed ring, an open ring, a horseshoe,etc.

The position of the printed circuit board 396 between the base 302 andthe tip 304 may be maintained in any suitable manner. For example,according to various embodiments, the second portion 314 of the base 302and the opening 398 of the printed circuit board 396 may cooperate toconstrain lateral movement of the printed circuit board 396. Axialmovement of the printed circuit board 396 may be constrained, forexample, by the threaded connection between the base 302 and the printedcircuit board 396, and/or by the connection (threaded, snap-fit, etc.)between the tip 304 and the base 302.

According to various embodiments, the tip 304 may further include anelectronic device and the printed circuit board 396 may serve as thepoint of attachment for such a device. The electronic device may beembodied as, for example, a light emitting diode, an imaging device(e.g., a camera, an ultrasonic probe, etc.), a solenoid, a piezoelectricdevice, a sensor (e.g., a MEMS biosensor), etc. Power may be deliveredto the printed circuit board 396 in any suitable manner. For example,according to various embodiments, at least two conductors connected toan external power source (e.g., a feeder which actuates movements of thesteerable multi-linked device 10) may be run from the proximal end ofthe multi-linked device 10 to the printed circuit board 396 via thethree-dimensional space 240 that exists between the first mechanism 12and the second mechanism 14 when the first mechanism 12 is received bythe second mechanism 14. In other embodiments, the conductors may be runfrom the proximal end of the multi-linked device 10 to the printedcircuit board 396 via one of the working ports.

While several embodiments of the invention have been described herein byway of example, those skilled in the art will appreciate that variousmodifications, alterations, and adaptions to the described embodimentsmay be realized without departing from the spirit and scope of theinvention defined by the appended claims.

1. A system comprising: a first multi-linked mechanism comprising aplurality of first links; a second multi-linked mechanism comprising aplurality of second links, wherein at least two of the second links areconfigured to surround at least two of the first links; a modular linkassembly positioned at an end of at least one of the first multi-linkedmechanism or the second multi-linked mechanism, wherein the modular linkassembly comprises a base; a first tip configured to attach to the base;and a second tip configured to attach to the base.
 2. The system ofclaim 1, wherein the base comprises a plurality of threads.
 3. Thesystem of claim 1, wherein at least one of the first tip and the secondtip comprise a plurality of threads.
 4. The system of claim 1, furthercomprising a printed circuit board, wherein the printed circuit board isconfigured to attach to the base.
 5. The system of claim 4, wherein atleast one of the first tip and the second tip is configured to attach tothe base such that the printed circuit board is positioned between thebase and the at least one of the first tip and the second tip.
 6. Thesystem of claim 4, further comprising at least one electronic deviceconfigured to attach to at least one of the first tip and the second tipvia the printed circuit board.
 7. The system of claim 6, wherein theelectronic device comprises one or more of: a light emitting diode; asolenoid; a piezoelectronic device; a sensor; or an imaging device. 8.The system of claim 1, wherein: the modular link assembly is positionedat an end of the first multi-linked mechanism, the first multi-linkedmechanism defines at least one working port along a length thereof, thebase and the first tip are configured to cooperate to define at least aportion of the at least one working port.
 9. The system of claim 1,wherein: the modular link assembly is positioned at an end of the firstmulti-linked mechanism, the first multi-linked mechanism defines atleast one working port along a length thereof, the base and the secondtip are configured to cooperate to define at least a portion of the atleast one working port.
 10. The system of claim 1, wherein: the modularlink assembly is positioned at an end of the second multi-linkedmechanism, the second multi-linked mechanism defines at least oneworking port along a length thereof, the base and the first tip areconfigured to cooperate to define at least a portion of the at least oneworking port.
 11. The system of claim 1, wherein: the modular linkassembly is positioned at an end of the second multi-linked mechanism,the second multi-linked mechanism defines at least one working portalong a length thereof, the base and the second tip are configured tocooperate to define at least a portion of the at least one working port.12. The system of claim 1, wherein the base defines a passage extendingfrom a first end of the base toward a second end of the base along alongitudinal axis of the base.
 13. A system comprising: a firstmulti-linked mechanism comprising a plurality of first links; a secondmulti-linked mechanism comprising a plurality of second links, whereinat least two of the second links are configured to surround at least twoof the first links; a modular link assembly releasably attached to anend of the first multi-linked mechanism, wherein the modular linkassembly comprises a base; a first tip configured to attach to the base;and a second tip configured to attach to the base.
 14. The system ofclaim 13, wherein: the first multi-linked mechanism defines at least oneworking port along a length thereof, the base and the first tip areconfigured to cooperate to define at least a portion of the at least oneworking port.
 15. The system of claim 13, wherein: the firstmulti-linked mechanism defines at least one working port along a lengththereof, the base and the second tip are configured to cooperate todefine at least a portion of the at least one working port.
 16. Thesystem of claim 13, wherein: the base comprises a first plurality ofthreads, at least one of the first tip and the second tip comprise asecond plurality of threads.
 17. A system comprising: a firstmulti-linked mechanism comprising a plurality of first links; a secondmulti-linked mechanism comprising a plurality of second links, whereinat least two of the second links are configured to surround at least twoof the first links; a modular link assembly releasably attached to anend of the second multi-linked mechanism, wherein the modular linkassembly comprises a base; a first tip configured to attach to the base;and a second tip configured to attach to the base.
 18. The system ofclaim 17, wherein: the second multi-linked mechanism defines at leastone working port along a length thereof, the base and the first tip areconfigured to cooperate to define at least a portion of the at least oneworking port.
 19. The system of claim 17, wherein: the secondmulti-linked mechanism defines at least one working port along a lengththereof, the base and the second tip are configured to cooperate todefine at least a portion of the at least one working port.
 20. Thesystem of claim 17, wherein: the base comprises a first plurality ofthreads, at least one of the first tip and the second tip comprise asecond plurality of threads.